Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Physician

Novant Health Medical Group, LLC

Novant Health Medical Group, LLC was paid $274K by Medicaid between Apr 2018 and Nov 2023, across 6 billing codes. Its largest line is 99243, — 43% of everything it billed.

33Billing provider infoNOVANT HEALTH MEDICAL GROUP, LLC
CHARLOTTE, NC 28204
33aNPI1639695133assigned 08/16/2017
28Total paid$274K
24GClaims2,766
24DCodes billed6
24AFirst – last monthApr 2018 – Nov 2023
Compared with peers

Next to other Pediatric Sports Medicine Physician providers in North Carolina

Rank by total paid#5 of 5
Median peer was paid$6.55M
This provider vs. median0.0×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official WALTON, LEEA controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$5.0K$10K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018116$15K
2019332$35K
2020409$49K
2021584$52K
2022600$55K
2023725$68K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
99243 43% 1,066 862 $118K
99244 Office or other outpatient consultation, moderate to high complexity 33% 563 535 $90K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 19% 537 436 $52K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.4% 136 103 $9K
77072 1.5% 411 334 $4K
71046 Radiologic examination, chest; 2 views <1% 53 52 $830.04

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialWALTON, LEEA (EDI MANAGER)
Same official

Other billing entities under WALTON, LEEA

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.